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# PAY CHANGE NOTIFICATION9 SEPT 65SECRET# NOTIFICATION OF PERSONNEL ACTION**1. RIAL NUMBER**56043**2. NAME (LAST-FIRST-MIDDLE)**BAGLEY TENNENT H**3. NATURE OF PERSONNEL ACTION**REASSIGNMENT**4. EFFECTIVE DATE**09 09 65**5. CATEGORY OF EMPLOYMENT**REGULAR**6. FUNDS**V TO VV TO CF**7. COST CENTER NO. CHARGEABLE**6134 0573 0000**8. CSC OR OTHER LEGAL AUTHORITY**50 USC 403 JCF TO VXCF TO CF**9. ORGANIZATIONAL DESIGNATIONS**DDP/SR DIVISIONOFFICE OF THE CHIEF**10. LOCATION OF OFFICIAL STATION**WASH., D.C.**11. POSITION TITLE**POL OFFICER 2ND SECOPS OFFICER D DIV CH**12. POSITION NUMBER**0002**13. SERVICE DESIGNATION**D**14. CLASSIFICATION SCHEDULE (GS. LR. etc.)**FSRGS**15. OCCUPATIONAL SERIES**0136.01**16. GRADE AND STEP**04 216 1**17. SALARY ON RATE**1249518935**18. REMARKS**WASH., D.C.14-00000| OLD SALARY RATE          |     NEW SALARY RATE     || ------------------------ | :---------------------: || Grade   Step             |      Grade   Step       || GS 16 1 $19.619 06/06/65 | GS 16 7 320.27 06/05/66 |NO EXCESS L WOPIN PAY STATUS AT END OF WAITING PERIODL WOP STATUS AT END OF WAITING PERIODCLERKS INITIALS AUDITED BYI CERTIFY THAT THE WORK OF THE ABOVE NAMED, EMPLOYEE ISOF AN ACCEPTABLE LEVEL OF COMPETENCE.SIGNATURE1266---**SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL**| 19. ACTION CODE | 20. Empl Code         | 21. OFFICE CODING   | 22. STATION CODE        | 23. INTEGREE CODE               | 24. Hmsp Code       | 25 DATE OF BIRTH | 26 DATE OF GRADE | 27 DATE OF LEI || --------------- | --------------------- | ------------------- | ----------------------- | ------------------------------- | ------------------- | ---------------- | ---------------- | -------------- || 37              | 10                    | 48040 SR            | 75013                   | 1                               | 1                   | 11 11 25         |                  |                || 28 HTE EXPIRES  | 29. SPECIAL REFERENCE | 30. RETIREMENT DATA | 31 SEPARATION DATA CODE | 32 CORRECTION/CANCELLATION DATA | 33 SECURITY REQ NO. | 34. SEX          |                  |                ||                 |                       |                     |                         |                                 |                     |                  |                  |                || 35 VET. PREFERENCE                                                                                                              | 36. SERV CORP. DATE | 37. LONG COMP. DATE  | 38. CAREER CATEGORY          | 39. FEGLI / HEALTH INSURANCE   | 40. SOCIAL SECURITY NO. || ------------------------------------------------------------------------------------------------------------------------------- | ------------------- | -------------------- | ---------------------------- | ------------------------------ | ----------------------- || CODE:  0 - NONE, 1 - 5 PT, 2 - 10 PT                                                                                            |                     |                      |                              | CODE: 1 - YES  HEALTH INS CODE |                         || 41. PREVIOUS GOVERNMENT SERVICE DATA                                                                                            | 42. LEAVE CAT CODE  | 43. FEDERAL TAX DATA | 44. STATE TAX DATA           |                                |                         || ---                                                                                                                             | ---                 | ---                  | ---                          |                                |                         || CODE:  0 NO PREVIOUS SERVICE, 1 NO BREAK IN SERVICE, 2 BREAK IN SERVICE LESS THAN 3 (125), 3 BREAK IN SERVICE MORE THAN 3 (125) |                     | FORM EXECUTED CODE   | CODE VO TAN STATE CODE EXEMP |                                |                         |SIGNATURE OR OTHER AUTHENTICATIONFORM 1150 Use Previous EditionSECRETPOSTED(When Filled in)